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Mental Health

Overview

North Bay has recognized the need for more mental health supports and has prioritized the need for an increase in access to 24/7 mental health supports outside of a hospital setting (Mayor’s Roundtable 2020). Moreover, in 2020, The Gateway Hub Table identified mental health and cognitive functioning as the top risk high-level risk priority (Gateway Hub, 2020). Similarly, the North Bay Police Service (2018) note that out of the approximate 30,000 calls the North Bay Police Service receives a year; 20% of the calls are primarily related to mental health and addictions. The Mayor’s Roundtable report (2020) indicates the Nipissing District has higher rates for levels of mood disorders, anxiety disorders, and suicide than the provincial average. 

In terms of children's mental health, approximately 1 out of 4 hospital crisis calls are responded to by Community Mental Health child and family therapists (Mayor’s Rountable, 2020). Although crisis calls represent a need, capacity is required for timely treatment to mitigate and reduce risks and the potential for family breakdown. Similarly, the North Bay Parry Sound District Health Unit have indicated that 1 out of 4 students in the region wanted to speak with someone about a mental health concern but did not know how to access supports (North Bay Parry Sound District Health Unit, 2017a).

The difficulty in navigating the local service system continues as it was more recently identified in the network mapping and focus groups (see the sub-reports also). There must be equal access to health services and social supports given they are important determinants of health (Mayor’s Roundtable, 2020). This illustrates that not only are adults experiencing mental health-related concerns in the region but children and adolescents are also experiencing these same concerns and not receiving adequate access to services. 

The North Bay survey noted those requiring programs and services indicate they need family doctors/physicians; medical specialists; affordable access to physiotherapy; therapists; chiropractors; counselling; (more mental health programs and services were also mentioned in this physical health section); increased access to recreational and physical activity, both indoors and outdoors (recreational centres, gyms, fitness centres, tennis and basketball courts, pools, running tracks, walking/hiking/bike trails, parks, greenspace); and police presence and programs. Respondents added that it is essential that physical health services and recreation and physical activities are affordable.

Outcomes:

  • Mental health response matches the need: individuals are receiving the right response at the right time by the right service provider.
  • The demand for incident responses and acute care resources is reduced relative to the supports provided at the onset of mental health.
  • Risks to community safety in the area of mental health are addressed without the use of emergency resources where possible.

Performance Measures: 

  • Mental health program waitlists.
  • Psychiatric care waitlists.
  • Primary care waitlists.
  • Local police, emergency medical services, and fire services data.

Actions Timelines Output Indicators  Status Partners Needed
Expand the capacity of mental health services for adults including the recruitment and training of staff. 1 Year
  • Decreased wait times for mental health programs, supports, and services.
  • Decreased suicide rate.
  • Decreased incidence response related to mental health.
  • Increased client/ community satisfaction of mental health services.
Completed
  • Health sector
  • Mental health service providers
  • Addictions service providers
  • Others as identified
Expand the capacity of mental health services for children
including the recruitment and
training of staff
1 Year Completed
Where mental health and addictions are presented together,
ensure there is coordinated case management between mental
health and addictions service providers
1 Year In-Progress
Link individuals that have been discharged from mental health
programs to ongoing support programs
1 Year Completed
Ensure the larger public establishments are welcoming and
inviting to those with mental illness
(i.e. reduce the associated stigma)
1 Year In-Progress
         

Actions  Timelines Output Indicators  Status Partners Needed

Conduct a review of the waitlist demand for psychiatric care and primary care (i.e. family doctors and nurse practitioners) services.

1 Year 
  • Increased sense of physical and mental health.
  • Decreased suicide rate.
  • Decreased incidence response related to mental health.
 
  • Mental health service providers
  • Others as identified
Explore opportunities to increase capacity for psychiatric care. This may include the recruitment of additional psychiatrists. 1-3 Years  Completed
Explore opportunities to increase capacity for primary care. This may include the recruitment of additional family doctors and/or nurse
practitioners.
1-3 Years  In-Progress

Actions  Timelines Output Indicators Status Partners Needed
Increase the hours of operation to provide services 24 hours per day and 7 days a week. 1 Year
  • Decreased suicide rate.
  • Decreased incidence response related to mental health.
In-Progress
  • Health sector
  • North Bay Regional Health Centre
  • North Bay Police Service
  • North East LHIN
  • Others as identified
Expand the number of Mobile Crisis
Service teams based on peak demand hours.
1-3 Years  Completed